<Unavail>

LBN: Lake Mi Mobile Doctors, P.C.
<Unavail> is an health care organization with primary practice located at 3388 Founders Rd Suite C, Indianapolis IN 46268-1443. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Geriatric Medicine is the primary health care specialty. Lake Mi Mobile Doctors, P.C. can be contacted via phone (317) 471-8701, or through Contreras, Tysyn via phone (773) 751-7200.

Contact Information

Primary practice address
3388 Founders Rd Suite C Indianapolis IN 46268-1443
Phone: (317) 471-8701
Fax: (317) 471-8702
Website:
Map and Directions
Authorized official contact:
Name: Contreras, Tysyn
Phone: (773) 751-7200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X

Profile Details

NPI number 1740457555
LBN Legal business name Lake Mi Mobile Doctors, P.C.
DBA Doing business as <Unavail>
Authorized official Contreras, Tysyn
Entity Organization
Organization subpart 1 No
Enumeration date May 12th, 2008
Last updated Apr 23rd, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740457555 NPPES
Indiana MEDICAID 200946960B

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